Active NPI
Edward M. Ha, M.D., P.C.
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
National Provider Identifier
1194712323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 142074
- Legal business name
- EDWARD M. HA, M.D., P.C.
- Practice address
- 3341 149TH St
Flushing, NY 11354-3241 - Phone
- (718) 359-1144
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Ha, M.D.
- Title
- President
- Phone
- (718) 359-1144
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 142074 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 142074 | NY | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 142074 | NY |
Addresses
Primary practice location
3341 149TH St
Flushing, NY 11354-3241
Mailing address
4903 Cloverdale Blvd
Oakland Gardens, NY 11364-1420
Phone (718) 279-4878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008363342 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3341 149th St
#1
Flushing, NY 11354
Phone (718) 359-1144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709164800000",
"number": "1194712323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 CLOVERDALE BLVD",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641420",
"telephone_number": "718-279-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 149TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543241",
"telephone_number": "718-359-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD M. HA, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-359-1144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NY",
"license": "142074",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "142074",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "142074",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008363342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.